斯堪的纳维亚的单一分支TEVAR系统的初始经验和结果
Samuel Saers1,2, Reshaabi Srinanthalogen3, Tomas Ohrlander4
1Department of Thoracic and Vascular Surgery, Linköping University Hospital, Linköping, Sweden.
The Journal of cardiovascular surgery
|May 28, 2025
概括
在斯堪的纳维亚,Castor单分支胸内血管大动脉修复 (TEVAR) 系统显示出有希望的短期结果. 这种创新的设备有效地治疗大动脉病理,同时保持上大动脉分支血管流动.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 大动脉动脉瘤修复修复
背景情况:
- 胸内血管大动脉修复 (TEVAR) 在降落在1或2区时,往往会损害上大动脉血管.
- 卡斯托单分支TEVAR系统旨在治疗2和3区的病理,同时保持大动脉侧分支的流量.
研究的目的:
- 在斯堪的纳维亚中心评估Castor支架移植的初始临床经验和短期结果.
- 评估Castor系统在治疗各种胸前大动脉病理方面的安全性和有效性.
主要方法:
- 在四个斯堪的纳维亚医院,对所有使用Castor系统治疗的患者进行了回顾性分析.
- 包括术前和术后成像,手术数据,技术成功率,存活率,重大不良事件和重新干预率.
主要成果:
- 23名患者接受了各种病理的治疗,包括B型解剖,动脉瘤和支架移植诱导的新入口.
- 高技术成功率 (96%) 和优秀的侧枝穿透率 (95%),平均随访时间为359天.
- 在30天内没有经过手术的中风,脊髓缺血或死亡;在随访期间需要进行两次重新干预.
结论:
- 在这个多中心的欧洲系列中,Castor系统表现出良好的短期结果和良好的初始经验.
- 该装置促进了复杂的胸前大动脉病理的治疗,同时保持了必要的分支血管 perfusion.
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